Loading...
HomeMy Public PortalAbout10324 DAINES DR_Electrical__ 78A683-CE808 3.39• APPLICATION FOR ELECTRIC . PERMIT COUNTY OF LOS ANGELES" DEPARTMENT OF COUNTY ENGINEER BUILDING- BUILDING AND SAFETY DIVISION ADDRESS /O.3zT 2e JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY C� FOR APPLICANT TO FILL IN NEAREST' PFJMT FEES cRoss sr. OWNER ITEM NUMBER I EACH FEE MAIL ` OUTLET •ry„ $ 1O $ ^ ADDRESS ' LIGHTS RECEPT O SW.' iC.J b/ LIGHTING FIXTURES i0 CITY TEL.NO. AyELEC.RANGES CLO.DRYERS ELECTRICIAN _ WATER H E A T E R-S .50 - ADDRES / ELEC.SPACE HTRS. DISHWASHERS CITY .<Lit /,&k- TEL. NO.K40 GARBAGE DIB OSER�3 AUTO.- STATE WASHERS STA.-COOKING UNITS _ •2S LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT NO. G P ZP CESSED BY 0— 1/2 .25' , 1/2— 2 so INSPECTION RECORD 2— - 5 1.00 5— 18 1.80 1S— 80 2.50, so—200- 5.00 SIGNS. NO.TRANS. - NO.LAMPS SERVICE 0-600V 1.00 Q(� SERVICE OVER 600V s.00 MISC. WIRINGPERMIT 1.00 QQ _ FIXTURE PERMIT, 1.00 1,40 SUPPLEMENTARY PERMIT .50 p e<Q'ILPj♦w / X / �, 1l`�r / i TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT I'HAVE READ THIS APPLICATION _ APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO.COMPLY - ,WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING � LICENSED AS REOUJRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES d -3 1-�O �--7- CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. - POWER SIGNATUREUTILITY'CO.NOTIFIED OF PERM ITTE - FINAL w �• � ®e ATION ARTHUR C.VETT, cK Mp CAST{ SUPERVISING ELECTRICAL ENGINEER 8 FEB15 -. .2 A 8-55 'tQ A77- 76A663CE-806j11 ;7B; APPLICATION-FOR ELECTRICAL PERMIT, ' COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL'IN JOB FApplionces sidential Bldgs &Pools EACH NO FES ADDRESS ._ / K/r. - ,Family,Sq Ft $ ' 025 — $ LOCALITY i family Sq Ft 02 r _ CROSS ST /�dh w ential Swimming Fools 25 00 OWNER OR 7 -• �=; _ Stace_ _ w ���� FIRM NAME Rec_ zlg,t Sw �L_ _ MAIL _ . , ,'First 20, 50 0 00 ADDRESS No -�� " - Additional 30 CITY Cj Tel�IV� 53c7p y ' PLAN CHECK • _ APPLICANT. Fixtures C First 20 50 ADDRESS No 2-J ' Adddionol 30' CITY Tel No plionces Not Over 1 HP . . PERMITe Heater_D WAPPLICANTOven_Dryer W/v1— ADDRESS- Z �^ - -- Top F4W H CIT 'rlj12 -Tel No 4(� 'Hood=Fo`n-"'_- Other_ = �� LICENSE OR Disp —'Room A_it Co_nd _ - 25 10NUMBER 3� 4- REG ^ ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THISIAPPLICA Power Apparatus&Lorge Appl lances TION AND STATE THAT THE ABOVE'IS CORRECT AND AGREE TO Size&T COMPLY WITH ALL"COUNTY"ORDINANCES'AND'STATE LAWS �• ype HP, KW, KVA,or KVAR 2 50 REGULATING ELECTRICAL WIRING O Up to 1 Incl I HEREBY CERTIFY-THAT 1 AM PROPERL'Y'REGISTERED AND/OR U Over 1 to 10-Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 09 Over 10 to 50 Incl - _ 12 50. CALIFORNIA_OR THAT 1`_AM THE LEGAL OWNER Of THE ABOVE C 25 00 DESCRIBED RESIDENTIAL PROPERTY F Over 50 to 100 Inc tttbd PERMITEE 40-00 Over 100- SIGNATURE Services- - DISTRICT NO PROC SED`BY - = 0 200 Amp Under 600 V 1.2 50 201 1000 Amp' Under 600 V 2500 - -�•�-0�-«- Over 1000 Amp or'Over 600 V 5000 Z Temp Power Pole&Appurtenances 1000 f+ Sign with One Branch Circuit 10001 ' •J Additionol,Sign Branch•Circuits r " S' 20 L INSPECTION_ _ > 1 10 00 ` INFORMATION Misc Conduits&Conductors ` ON REVERSE _ _ �"8-7,0.J A Other'(See Complete Fee Schedules _. SIDE v J r _ 2 - 59,00 PERMIT FEE `(Sub Totall �2 o 0, 0 5 9, 0 PLAN CHECKING FEE (One Fourth Permit Feel Z ` 7 CX- PERMIT ISSUING FEE $7.00 . , : - '' a •-c . TOTAL FEE `j 00 > ' i INSPECTION FINALED W date By ©s WORKERS'COM PENSATION+'DECLARATION a 76A663 10/81� �. hereby affirm that I have a certificate'of-cons6nt to seg CE-806;, ' .APPLICATION FOR ELECTRICAL• PERMIT insure, or a certificate of.Workers' Compem.ation Insbrance, _ -COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab. C ) Policy No. Company FOR APPLICANT TO FILL IN JOB �Q � �r Certified co is hereby furnished EACH NO. FEE ADDRESS G, PY Y _ New Residential Bldgs 8 Pools ❑ 1 & 2-Family, S Ft. $ — $ LOCALITY 4-- Certified copy is filed with the county building inspec- y' q NEAREST tion department. Multi-family Sq. Ft. — S ST Residential Swimming Pools OWNER OR Date Applicant , FIRM NAME CERTIFICATE OF.EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL COMPENSATION INSURANCE -ADDRESS 10 2j,First �'. D2crces Dr; (This section need not be completed if the work involved by Total No. Additional I CITY � le- the e Tel No.' j the permit is for one hundred dollars ($100)or less:) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall*not employ any person-in any manner ry so as to become subject to the Wo Compensation Laws. Lighting Fixtures First 20 ADDRESS ^ Additional �--3�(� Q Z Total No. CITY Tel No. Date • Applicant r"" Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after ting this Certificate of APPLICANT Exemption, you should become subject to the Workers' -Range_ Heater_D.W. _ Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W.M — ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W H. — deemed revoked Hood Fan _Other_ CITY Tel. No. LICENSED.CONTRACTORS'DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp' _ Room Air Cond. REG NUMBER Class. (commencing with Section 7000) of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO. PROCESSED BY >_ and Professions Code, and my license is in full force and effect. IZ Size &Type HP, KW, KVA, or KVAR' Q Q License Number Lic. ClassU Up to 1 Incl FINAL DATE Over-1 to 10 Incl VALIDATION Q Contractor, Date Over 10 to 50 Incl. ®c. F FINAL V ❑ .I.am exempt under Sec. Over 50 to 100 Inc. BY LJ"�J� W 0. B &P C for this reason Over 100 Date: Services, Swbd , MCC& Ponelboards ► •0 -200 Amp Under 600 V 'Signature 201 - 1000 Amp Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg Maint. Elect SINGLE FAMILY Temp Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits d. ' Law for the following reason (Section 7031 5, Business and g too- `o 0 0,2 Professions Code).' , ❑ I, as owner of the property, will do the work.and the MOther isc. Conduits& Conductors See Complete-Fee ?•o,o 1 [,5 0 t structure is not intended or offered for sale (Section ( P _Schedule). 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is o'construction lending agency for the performance of the work for which this permit'is issued PERMIT FEE - (Sub-Total) (Sec. 3097, Civ ,C ) _ � - PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE /U- SO Lender's Address I certify' that I have read this application and state,that th'e TOTAL FEE , above information is correct I agree to comply with oll,County ` ordinances and State laws regulating Electrical wiring, and 3 hereby authorize representatives of this County to enter upon 4eae-mentioned property for inspection purposesSEE REVERSE FOR EXPLANATORY LANGUAGE e of Permittee Date � �